Michael D Grossman, MD
Surgery, Surgical Critical Care in Fairhaven, Massachusetts
1477580462- Practice location
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone
- 508-973-2204
- Fax
- 508-973-2640
- Last updated
- April 22, 2020
Michael D Grossman is a Surgery, Surgical Critical Care based in Fairhaven, MA. Michael D Grossman practices in Fairhaven, MA and has the professional credentials of MD. The NPI Number for Michael D Grossman is 1477580462 and holds a License No. 278809 (MA). The current practice location address for Michael D Grossman is 208 Mill RD, Fairhaven, MA 02719-5208 and can be reached out via phone at 508-973-2204 and via fax at 508-973-2640.
Provider Profile Details
- NPI Number
- 1477580462
- Provider Name
- Michael D Grossman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone Number
- 508-973-2204
- Fax Number
- 508-973-2640
- Primary Taxonomy
- Surgery, Surgical Critical Care · 2086S0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 27, 2006
- Last Update Date
- April 22, 2020
- Certification Date
- April 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Mill RD
Fairhaven, MA 02719-5208 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-5208
- Phone Number
- 508-973-2204
- Fax Number
- 508-973-2640
Provider Business Mailing Address Details
- Address
- 200 Mill RD Ste 180
Fairhaven, MA 02719-5255 - City
- Fairhaven
- State
- MA
- Zip
- 02719-5255
- Phone Number
- 508-973-2000
- Fax Number
- 508-973-2001
License Information
- License Number (1)
- 278809
- License State (1)
- MA
- Taxonomy (1)
- Surgery, Surgical Critical Care · 2086S0102X · Primary
- License Number (2)
- 265457-1
- License State (2)
- NY
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael D Grossman, MD?
The NPI number of Michael D Grossman, MD is 1477580462. It was assigned on June 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael D Grossman, MD?
Michael D Grossman, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in MA under license number 278809.
Where does Michael D Grossman, MD practice?
The practice location is 208 Mill RD, Fairhaven, MA 02719-5208. The office can be reached at 508-973-2204 (phone) or 508-973-2640 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477580462 directly on the NPPES registry website.